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Individual

MS. ELDA MARIA LEONETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
10103 E DESERT GORGE DR, TUCSON, AZ 85747-5037
(520) 488-5387
Mailing address
10103 E DESERT GORGE DR, TUCSON, AZ 85747-5037
(520) 488-5387

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
100879
106S00000X
Behavior Technician
Primary
RBT-19-90373
AZ
106S00000X
Behavior Technician
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
75678765
AZ
Enumeration date
04/10/2021
Last updated
04/10/2021
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